Individual
DR. MATTHEW ROBERT LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
12600 CREEKSIDE LN STE 2&7, FORT MYERS, FL 33919-3353
(239) 343-9235
(239) 343-4008
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9235
(239) 343-4008
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
125.079032
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128649900
—
FL
Enumeration date
06/21/2021
Last updated
11/20/2025
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